Sample Letter: Responding to Third-Party Payer Requests for Patient Records

Developed by CoE-PHI

This sample letter can serve as an example to help substance use disorder treatment programs comply with 42 CFR Part 2 requirements while responding to requests from third-party payers, contractors, and other private entities.

Please note that the CoE-PHI Team is currently working on an updated version of this resource that will reflect the 2024 final rule changes to 42 CFR Part 2.